Individual
CALEB J BALLWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1200 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-6500
Mailing address
1200 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-6500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21092-40
WI
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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